J T Galea1,2,3, D Puma4, C Tzelios3, H Valdivia4, A K Millones4, J Jiménez4, M B Brooks3,5, C M Yuen3,5,6, L Lecca3,4, M C Becerra3,5, S Keshavjee3,5,6. 1. School of Social Work, University of South Florida, Tampa, FL. 2. College of Public Health, University of South Florida, Tampa, FL. 3. Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA. 4. Socios En Salud Sucursal Perú, Lima, Perú. 5. Harvard Medical School Center for Global Health Delivery, Harvard Medical School, Boston, MA. 6. Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
Abstract
BACKGROUND: In Lima, Peru, a mobile TB screening program ("TB Móvil") was implemented in high TB prevalence districts to increase TB screening. Community engagement activities to promote TB Móvil were simultaneously conducted. OBJECTIVE: To describe a structured, theory-driven community engagement strategy to support the uptake of TB Móvil. METHODS: We adapted Popular Opinion Leader (POL), an evidence-based social networking intervention previously used in Peru to promote HIV testing, for TB Móvil. Community health workers, women who run soup kitchens, and motorcycle taxi drivers served as "popular opinion leaders" who disseminated information about TB Móvil in everyday conversations, aided by a multi-media campaign. Performance indicators of POL included the number/characteristics of persons screened; number of multimedia elements; and proportion of persons with abnormal radiographs hearing about TB Móvil before attending. RESULTS: Between February 2019 and January 2020, 63,899 people attended the TB Móvil program at 210 sites; 60.1% were female. The multimedia campaign included 36 videos, 16 audio vignettes, flyers, posters, community murals and "jingles." Among attendees receiving an abnormal chest X-ray suggestive of TB, 48% (6,935/14,563) reported hearing about TB Móvil before attending. CONCLUSIONS: POL promotes the uptake of TB Móvil and should be considered as a strategy for increasing TB screening uptake.
BACKGROUND: In Lima, Peru, a mobile TB screening program ("TB Móvil") was implemented in high TB prevalence districts to increase TB screening. Community engagement activities to promote TB Móvil were simultaneously conducted. OBJECTIVE: To describe a structured, theory-driven community engagement strategy to support the uptake of TB Móvil. METHODS: We adapted Popular Opinion Leader (POL), an evidence-based social networking intervention previously used in Peru to promote HIV testing, for TB Móvil. Community health workers, women who run soup kitchens, and motorcycle taxi drivers served as "popular opinion leaders" who disseminated information about TB Móvil in everyday conversations, aided by a multi-media campaign. Performance indicators of POL included the number/characteristics of persons screened; number of multimedia elements; and proportion of persons with abnormal radiographs hearing about TB Móvil before attending. RESULTS: Between February 2019 and January 2020, 63,899 people attended the TB Móvil program at 210 sites; 60.1% were female. The multimedia campaign included 36 videos, 16 audio vignettes, flyers, posters, community murals and "jingles." Among attendees receiving an abnormal chest X-ray suggestive of TB, 48% (6,935/14,563) reported hearing about TB Móvil before attending. CONCLUSIONS: POL promotes the uptake of TB Móvil and should be considered as a strategy for increasing TB screening uptake.
Authors: Carolyn M Ford; Angela M Bayer; Robert H Gilman; Dami Onifade; Colleen Acosta; Lilia Cabrera; Carlos Vidal; Carlton A Evans Journal: Am J Trop Med Hyg Date: 2009-12 Impact factor: 2.345
Authors: J A Kelly; J S St Lawrence; Y E Diaz; L Y Stevenson; A C Hauth; T L Brasfield; S C Kalichman; J E Smith; M E Andrew Journal: Am J Public Health Date: 1991-02 Impact factor: 9.308
Authors: Courtney M Yuen; Daniela Puma; Ana Karina Millones; Jerome T Galea; Christine Tzelios; Roger I Calderon; Meredith B Brooks; Judith Jimenez; Carmen Contreras; Tim C Nichols; Tom Nicholson; Leonid Lecca; Mercedes C Becerra; Salmaan Keshavjee Journal: BMJ Open Date: 2021-07-07 Impact factor: 2.692
Authors: Helen E Jenkins; Sally Ayuk; Daniela Puma; Meredith B Brooks; Ana Karina Millones; Judith Jimenez; Leonid Lecca; Jerome T Galea; Mercedes Becerra; Salmaan Keshavjee; Courtney M Yuen Journal: Int J Infect Dis Date: 2022-04-22 Impact factor: 12.074